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Showing results for "medication errors".
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  1. Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. | PSNet

    psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
    October 20, 2021 - Press Release/Announcement Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. Citation Text: Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021. Copy Citation Save S…

  2. The Daily Plan: including patients for safety's sake. | PSNet

    psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
    March 13, 2013 - Study The Daily Plan: including patients for safety's sake. Citation Text: King BJ, Mills PD, Fore AM, et al. The Daily Plan®: Including patients for safety's sake. Nurs Manage. 2012;43(3):15-8. doi:10.1097/01.NUMA.0000412229.53136.3e. Copy Citation Format: DOI Google Sch…

  3. Systematic review of intraoperative anesthesia handoffs and handoff tools. | PSNet

    psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools
    March 10, 2021 - Review Systematic review of intraoperative anesthesia handoffs and handoff tools. Citation Text: Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. Cop…

  4. How communication among members of the health care team affects maternal morbidity and mortality. | PSNet

    psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
    November 12, 2014 - Commentary How communication among members of the health care team affects maternal morbidity and mortality. Citation Text: Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6)…

  5. Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. | PSNet

    psnet.ahrq.gov/issue/improving-follow-abnormal-cancer-screens-using-electronic-health-records-trust-verify-test
    July 14, 2010 - Study Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. Citation Text: Singh H, Wilson L, Petersen L, et al. Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test r…

  6. Conceptualising learning from resilient performance: a scoping literature review. | PSNet

    psnet.ahrq.gov/issue/conceptualising-learning-resilient-performance-scoping-literature-review
    October 09, 2024 - Review Conceptualising learning from resilient performance: a scoping literature review. Citation Text: Degerman H, Wallo A. Conceptualising learning from resilient performance: a scoping literature review. Appl Ergon. 2024;115:104165. doi:10.1016/j.apergo.2023.104165. Copy Citation …

  7. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
    January 01, 2024 - Monitors and reports medication errors……………... 1 2 3 4 5 1 2 3 4 5 19. …  Error Reporting and Prevention (NCC‐MERP) ADE Classification The NCC‐MERP adopted a Medication Error … National Coordinating Council for Medication Error Reporting and Prevention ADE Classification NCC‐MERP …  Errors.   … Preventing Medication Errors. Aspden P, Wolcott J, Bootman JL, Cronenwett LR, editors. 

  8. Alternative medications for medications in the Use of High-Risk Medications in the Elderly and Potentially Harmful Drug–Disease Interactions in the Elderly quality measures. | PSNet

    psnet.ahrq.gov/issue/alternative-medications-medications-use-high-risk-medications-elderly-and-potentially-harmful
    April 27, 2011 - December 22, 2010 Identifying modifiable barriers to medication error reporting in the

  9. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. | PSNet

    psnet.ahrq.gov/issue/patient-safety-error-reduction-and-pediatric-nurses-perceptions-smart-pump-technology
    February 28, 2024 - smart pumps supported that perception, documenting 65 instances in which those same nurses prevented medication … errors by appropriately utilizing the devices.

  10. Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. | PSNet

    psnet.ahrq.gov/issue/assessing-safety-electronic-health-records-national-longitudinal-study-medication-related
    July 29, 2020 - September 29, 2017 Screening for medication errors using an outlier detection system.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38980/psn-pdf
    September 30, 2009 - Caution: coloured medication and the colour blind. September 30, 2009 Cole BL, Harris RW. Caution: coloured medication and the colour blind. Lancet. 2009;374(9691):720. doi:10.1016/S0140-6736(09)60313-5. https://psnet.ahrq.gov/issue/caution-coloured-medication-and-colour-blind This piece illustrates how relying on…

  12. Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. | PSNet

    psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event
    July 24, 2024 - be Error Related to Procedure/Treatment/Test followed by Complication of Procedure/Treatment/Test, Medication … Error, and Fall.

  13. 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. | PSNet

    psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
    February 28, 2018 - Press Release/Announcement 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Citation Text: 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission. Copy Citation Save Save to your library Pr…

  14. Sterile compounding tragedy is a symptom of a broken system on many levels. | PSNet

    psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
    February 13, 2019 - Newspaper/Magazine Article Sterile compounding tragedy is a symptom of a broken system on many levels. Citation Text: Sterile compounding tragedy is a symptom of a broken system on many levels. ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4.   Copy C…

  15. Disease management: a mid-decade evolution toward patient safety. | PSNet

    psnet.ahrq.gov/issue/disease-management-mid-decade-evolution-toward-patient-safety
    January 28, 2010 - Commentary Disease management: a mid-decade evolution toward patient safety. Citation Text: Disease management: a mid-decade evolution toward patient safety. Heckinger E; Chappell H; Downes D; Fitzner K. Copy Citation Save Save to your library Print …

  16. Inadvertent Administration of an Oral Liquid Medicine into a Vein. | PSNet

    psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
    January 22, 2020 - Book/Report Inadvertent Administration of an Oral Liquid Medicine into a Vein. Citation Text: Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. Copy Citation Save Save to your …

  17. Making care better in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit
    September 02, 2020 - November 23, 2016 Preventing medication errors in neonatology: is it a dream?

  18. Associations between negative patient safety climate and infection prevention practices. | PSNet

    psnet.ahrq.gov/issue/associations-between-negative-patient-safety-climate-and-infection-prevention-practices
    May 10, 2023 - June 28, 2017 Health literacy-informed communication to reduce discharge medication errors

  19. 'Trust but verify'—five approaches to ensure safe medical apps. | PSNet

    psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps
    September 27, 2023 - August 26, 2015 Preventing medication errors in hospitals through a systems approach

  20. Are quality improvement collaboratives effective? A systematic review. | PSNet

    psnet.ahrq.gov/issue/are-quality-improvement-collaboratives-effective-systematic-review
    August 02, 2015 - commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication … errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis
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